Provider Demographics
NPI:1245084870
Name:MONTROSE ADHC, INC.
Entity type:Organization
Organization Name:MONTROSE ADHC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER/SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HACOBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-481-9090
Mailing Address - Street 1:2925 HONOLULU AVE
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3912
Mailing Address - Country:US
Mailing Address - Phone:818-369-7006
Mailing Address - Fax:818-367-7007
Practice Address - Street 1:2925 HONOLULU AVE
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-3912
Practice Address - Country:US
Practice Address - Phone:818-481-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care